ophthalmoplegia /ofthal′məplē″jē·ə/ [Gk, ophthalmos + plege, stroke] , an abnormal condition characterized by paralysis of the motor nerves of the eye. Bilateral ophthalmoplegia of rapid onset is associated with acute myasthenia gravis, acute thiamine deficiency, botulism, and acute inflammatory cranial polyneuropathy. These diseases are potentially very destructive and require prompt attention. In some patients with myopathic ophthalmoplegia, structural abnormalities and biochemical disorders may be evident in limb muscles. Ophthalmoplegia is also associated with ocular dystrophy.